Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $143.19 / $369.78	Facility		$22.50	$143.19	$369.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $42.60 / $70.45	Professional		$31.01	$42.60	$70.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $28.19 / $32.63	Professional		$23.49	$28.19	$32.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $113.32 / $312.00	Facility		$51.48	$113.32	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $37.02 / $95.13	Professional		$23.20	$37.02	$95.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $596.10	Facility		$58.90	$100.00	$596.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $41.61 / $100.00	Professional		$29.13	$41.61	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $61.69 / $157.28	Facility		$32.53	$61.69	$157.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $57.09 / $83.73	Professional		$30.77	$57.09	$83.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $46.98 / $75.17	Professional		$41.76	$46.98	$75.17
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $87.02 / $87.02	Professional		$87.02	$87.02	$87.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $46.98 / $104.79	Professional		$37.58	$46.98	$104.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $224.07 / $224.07	Facility		$136.30	$224.07	$224.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $54.36 / $122.89	Facility		$38.97	$54.36	$122.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $46.98 / $93.96	Professional		$31.30	$46.98	$93.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $164.89 / $164.89	Professional		$164.89	$164.89	$164.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $46.98 / $65.77	Professional		$37.58	$46.98	$65.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.19 / $94.29	Professional		$19.73	$28.19	$94.29